RT Journal Article
SR Electronic
T1 Acute myocardial infarction among Spanish adults with and without COPD: Cumulative incidence and outcomes
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P4729
VO 44
IS Suppl 58
A1 Javier de Miguel Díez
A1 Rodrigo Jiménez García
A1 Alicia Oliva Ramos
A1 Valentín Hernández Barrera
A1 Ana López de Andrés
A1 Milagros Llanos Flores
A1 Irene Jarana Aparicio
A1 Julio Cesar Vargas Espinal
A1 Luis Puente Maestu
A1 Pilar Carrasco Garrido
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P4729.abstract
AB Background: This study aims to describe trends in the rate of acute myocardial infarction (AMI) in patients with and without COPD in Spain, 2001-2010.Methods: We selected all patients with a discharge of AMI using national hospital discharge data. Discharges were grouped by COPD status: COPD and non COPD. The cumulative incidence of discharges attributed to AMI were calculated overall and stratified by COPD status and year. We calculated length of stay (LOS) and in-hospital mortality (IHM).Results: From 2001 to 2010, 513,517 discharges with AMI were identified (7.79% with COPD). The cumulative incidence of discharges due to AMI in COPD patients increased (from 15.69 cases per 100,000 in 2001 to 18.4 in 2003), then decreased to 12.77% in 2010. The pattern was similar in non-COPD patients. It increased from 193.22 cases per 100.000 in 2001 to 211.12 in 2010, and then decreased to 177.79 in 2010. LOS and IHM decreased significantly over time in both groups. LOS decreased from 10.71 (9.64) days in 2001 to 9.09 (9.21) days in 2010 in COPD patients, and from 9.97 (9.14) days in 2001 to 8.9 (9) days in 2010 in non-COPD patients. IHM also decreased from 12.29% in 2001 to 10.82% in 2010 in COPD patients, and from 11.67% to 8.17% in 2010 in non-COPD patients.Conclusions: AMI hospitalization rates increased initially and have since declined slowly. LOS and IHM have decreased significantly in both groups, remaining higher in COPD patients.